MANPREET SINGH GREWAL (NPI# 1255513909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255513909 |
| Entity Type | Individual |
| Full Name | MANPREET SINGH GREWAL |
| Credential | M.D. |
| Practice Address |
4203 Belfort Road Suite 215 Jacksonville FL 32216-1416 |
| Mailing Address |
4608 Swilcan Bridge Ln S Jacksonville FL 32224-5620 |
| Practice Telephone | 9042964141 |
| Practice Fax Number | 9042792095 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | ME96458 | FL | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | ME96458 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 14H4X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 N Federal Hwy Ste 101, Pompano Beach, FL 33062 | 9548079545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841858677 | Manpreet Kaur Grewal | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2019-06-05 |
| 1013200161 | Manpreet Grewal | Psychiatry & Neurology | 105 Marys Ave, Kingston, NY 12401-5848 | 2011-05-24 |
| 1093836793 | Manpreet R Grewal | Dentist | 233 N M St, Tulare, CA 93274-4138 | 2007-04-02 |
| Street Address |
4203 BELFORT ROAD SUITE 215 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125093 | Shanan Loe | Obstetrics & Gynecology | 4203 Belfort Road, Suite 204, Jacksonville, FL 32216-1463 | 2006-02-24 |
| 1982769295 | Richard Donald Wetmore | Family Medicine | 4203 Belfort Road, Suite 315, Jacksonville, FL 32216-1418 | 2006-12-27 |
| 1831284645 | Abdallah I Kafrouni | Internal Medicine | 4203 Belfort Road, Suite 215, Jacksonville, FL 32216-1416 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1609828557 | Brian Thomas Mckibben | Colon & Rectal Surgery | 1515 May St, Jacksonville, FL 32204-4007 | 2006-05-17 |
| 1568423622 | Francis A Chrzanowski Jr. | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2006-03-29 |
| 1447641592 | Brian T. Mckibben, Md | Colon & Rectal Surgery | 1515 May St, Jacksonville, FL 32204-4007 | 2015-02-11 |
| 1407013592 | Ron G Landmann | Colon & Rectal Surgery | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2008-05-17 |
| 1467625434 | Neil William Carlton Gibson | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2008-04-10 |
| 1649477522 | Dorin Colibaseanu | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-07-02 |
| 1730383118 | Amit Merchea | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2007-06-12 |
| 1295777514 | Luca Stocchi | Colon & Rectal Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2006-06-12 |
| 1740241496 | Robert Clarence Moore | Colon & Rectal Surgery | 4910 Beach Blvd, Jacksonville, FL 32207-4817 | 2006-03-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.